Vitamin D supplementation as a probable measure to alleviate musculoskeletal pain, prevent infection and enhance physical ability among Indian adults from urban low socioeconomic backgrounds: An observational study

Renu Mahtani, Pranita Bora, Anjali Wikhe, Sonia Garcha, Raunak Mahtani, Prakash Kodali, Pradeep K. Nair
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Abstract

Problem Considered: Vitamin D deficiency is a global concern that needs significant attention. This observational study reports the impact of Vitamin D supplementation on general body aches, frequency of infection, and energy levels among Indian adults. Methods: This study included 508 adults aged 19–89 years old from low socioeconomic backgrounds who were given Vitamin D supplements for 4 months. The severity of musculoskeletal symptoms, frequency of infection or its symptoms, and perceived energy levels of the participants before and after the exposure were measured using a structured questionnaire. Data were analyzed descriptively for the frequencies, and a Chi-square and Wilcoxon signed-rank test was used to analyze the impact of Vitamin D on the variables studied. Results: The majority of the participants were female (82.3%) and were never exposed to Vitamin D supplementation earlier (84%). Nearly 65% of the participants were either homemakers, students, unemployed, or retired. Vitamin D supplementation was significantly associated with the reduction in back pain (P < 0.001), fatigue and body pain (P < 0.001), knee pain (P < 0.001), and pain in the hands and legs (P < 0.001). Vitamin D also significantly reduced the frequency of infection and/or its symptoms (P < 0.001) and improved physical work capacity (P < 0.001). Conclusion: Vitamin D supplementation for urban low socioeconomic groups may be beneficial as it can reduce the pain, frequency of infection and improve general well-being. The limitations of this study, such as the lack of a nonexposed group and data on the Vitamin D status of the participants, warrant consideration in future studies.
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一项观察性研究:补充维生素D可能缓解印度城市低社会经济背景成年人的肌肉骨骼疼痛、预防感染和增强身体能力
考虑的问题:维生素D缺乏症是一个需要引起高度重视的全球性问题。这项观察性研究报告了补充维生素D对印度成年人全身疼痛、感染频率和能量水平的影响。方法:这项研究包括508名年龄在19-89岁之间的低社会经济背景的成年人,他们服用维生素D补充剂4个月。肌肉骨骼症状的严重程度、感染或其症状的频率以及暴露前后参与者的感知能量水平使用结构化问卷进行测量。对数据的频率进行描述性分析,并使用卡方和Wilcoxon符号秩检验来分析维生素D对所研究变量的影响。结果:大多数参与者是女性(82.3%),之前从未服用过维生素D补充剂(84%)。近65%的参与者是家庭主妇、学生、失业者或退休人员。补充维生素D与减轻背部疼痛(P < 0.001)、疲劳和身体疼痛(P < 0.001)、膝盖疼痛(P < 0.001)以及手和腿的疼痛(P < 0.001)显著相关。维生素D还能显著降低感染频率和/或其症状(P < 0.001),并改善体力劳动能力(P < 0.001)。结论:对城市低社会经济群体补充维生素D可能是有益的,因为它可以减少疼痛,减少感染的频率,提高总体幸福感。这项研究的局限性,如缺乏非暴露组和参与者维生素D状况的数据,值得在未来的研究中考虑。
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